| NPI | 1982821625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-159541) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: AL 1-159541) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-01-15 |