| NPI | 1588285480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5014363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 24594) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-12-12 |