| NPI | 1730688110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5012956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9210035) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2022-01-26 |