| NPI | 1689166886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A0005646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A005646) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-10-14 |