| NPI | 1982021952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 077383-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9291236) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-03-09 |