| NPI | 1700399987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A114547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK 82365) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2023-03-01 |