| NPI | 1063239846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10033768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10033768) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-10-09 |