| NPI | 1053931949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5013327) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 25798) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-12-03 |