| NPI | 1487130837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 817718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 22026) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2021-10-14 |