| NPI | 1972536001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 3434864405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID N29783) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-11-15 |