| NPI | 1275138612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2020032641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A176885) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2023-11-21 |