| NPI | 1700333770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 25024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-143196) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-09-13 |