| NPI | 1558807693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9177494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024182958) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2024-03-18 |