| NPI | 1932458411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-118225) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-118225) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9381414) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2024-02-23 |