| NPI | 1952613473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5003890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 098129) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 2007004990-22) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2022-01-27 |