| NPI | 1053835215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 213394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 076342-23) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-06-10 |