| NPI | 1346714748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 54785) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM F11180137) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2023-01-13 |