| NPI | 1851716963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP07702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA TAP003214) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2020-03-06 |