| NPI | 1255160784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2024041203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 5383780) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-11-13 |