| NPI | 1467171447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-106774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL F0622077) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2025-05-20 |