| NPI | 1235915497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5020233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NE 94021) |
| 363LF0000X Nurse Practitioner Family (Licence: NE 115021) | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-06-19 |