| NPI | 1053934141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD 003666) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 0995524) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2023-05-10 |