| NPI | 1689381998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 860185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV RN94275) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-10-30 |