| NPI | 1366973372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5006436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 164519) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-03-09 |