| NPI | 1497417232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 31302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL F09211477) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2022-11-29 |