| NPI | 1396440079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 863844) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 863844) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-05-14 |