| NPI | 1699109595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SD CP000811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A112932) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2024-03-26 |