| NPI | 1770234247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11035765) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2316156) |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2024-11-25 |