| NPI | 1033751078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID NP62936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP61002929) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2024-04-15 |