| NPI | 1336743582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11030849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704294673) |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2024-05-23 |