| NPI | 1700354826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3012689) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV 91087) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-08-08 |