| NPI | 1831485390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 1215204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9168913) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-05-03 |