| NPI | 1386354454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP026857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA RN670295) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-02-08 |