| NPI | 1760876122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3009288) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009288) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-06-15 |