| NPI | 1114491214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL F09180409) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-148451) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-06-30 |