| NPI | 1851486922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP04915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA RN063028) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-05-02 |