| NPI | 1790926798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 7269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS A810299) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2022-03-15 |