| NPI | 1760115067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11020636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 658779) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-06 |