| NPI | 1730858226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015013) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC MOOD-KCJ61) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-16 |