| NPI | 1710953559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2004033676) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 44929) |
| 363L00000X Nurse Practitioner (Licence: AR A004899) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-06-05 |