| NPI | 1558767178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 19251) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19251) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2022-12-22 |