| NPI | 1841741402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-136156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-136156) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2020-03-03 |