| NPI | 1225648629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP213731) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP213731) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2021-04-26 |