| NPI | 1750397238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID NP-1122A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 4874524-4405) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-04-08 |