| NPI | 1568089977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 903779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 903779) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2021-02-01 |