| NPI | 1528587847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A102421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA 102421A) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2024-05-23 |