| NPI | 1841435252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 18602) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 164448) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 164448) | |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2022-02-22 |