| NPI | 1861022972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 262439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP021389) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2023-01-03 |