| NPI | 1386362986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-166080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL F08220729) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2023-03-15 |