| NPI | 1962717371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 4109) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4109) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2024-05-06 |