| NPI | 1205410230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 24948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA 000194) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-11-14 |