| NPI | 1881305829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5017365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC SEYB-XGOWU) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-01-13 |