| NPI | 1558726018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 4013924) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4013924) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 9179447) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2024-02-20 |