| NPI | 1528462900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005182A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 24886) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2022-11-15 |