| NPI | 1851953285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 26921) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 208386) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5011985) | |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2023-01-05 |