| NPI | 1134837453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5017231) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5017231) |
| 363LF0000X Nurse Practitioner Family (Licence: NC CLON-81YAS) | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-16 |