| NPI | 1881836757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2000145907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A102156) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209008003) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2022-01-14 |