| NPI | 1518653096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL F04230057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11025771) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-07-21 |