| NPI | 1679158216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71014854A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-174104) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11014026) | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-06-05 |