| NPI | 1184349060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC F07221296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC F07221295) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2024-01-09 |