| NPI | 1467050674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 205518) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A159716) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2023-04-27 |