| NPI | 1831502103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 21946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991071-NP) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2023-03-13 |