| NPI | 1639282585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP762A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID NP762A) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-05-09 |