| NPI | 1841700341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010295) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3016955) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2022-11-08 |