| NPI | 1104300185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9184976) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9184976) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-08-08 |