| NPI | 1538630900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 264648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R220223) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2021-12-08 |