| NPI | 1417627266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 27444) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC F06211744) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-06-16 |