| NPI | 1053092122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 34160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024190046) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-09-16 |