| NPI | 1699099812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R41324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 3368492) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2022-07-15 |