| NPI | 1629562194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 23486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 892753) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2025-06-10 |