| NPI | 1922231075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 3932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 15667330) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2022-08-19 |