| NPI | 1962852749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC A004685) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-04-08 |