| NPI | 1033717814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 295490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11007773) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-06-05 |