| NPI | 1831334234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3005647) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 5647P) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2024-06-26 |