| NPI | 1184112765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL F11170448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN271272) |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2023-12-05 |