| NPI | 1770354821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R51271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN 11125) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |