| NPI | 1184391146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID 69128) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP61196279) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-02-14 |