| NPI | 1336890144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015745) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC F03210214) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-02-09 |