| NPI | 1649429119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 7247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS A810629) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2025-05-15 |