| NPI | 1982072237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A116169) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A116169) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2024-08-02 |