| NPI | 1194310169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A162489) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A162489) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2024-04-15 |