| NPI | 1710537253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SD F09190653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP002411) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-06-08 |