| NPI | 1710350558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP07124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP07124) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-09-28 |