| NPI | 1598484610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5016805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC F07221243) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-09-09 |