| NPI | 1215562947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN F02201191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 27388) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-06-19 |