| NPI | 1831695691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 230298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 61009) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-10-03 |