| NPI | 1386462372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 37594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 906986) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-12-06 |