| NPI | 1861089732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC003638) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024180027) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2023-12-05 |