| NPI | 1891990081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 100423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AK 991) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-11-27 |