| NPI | 1609195098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 131965) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 131965) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2022-09-27 |