| NPI | 1598145138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 32365) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-128853) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-03-09 |