| NPI | 1174254585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 220776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2022031561) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2024-02-13 |