| NPI | 1750810453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5009554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC F05170859) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-06-03 |