| NPI | 1902329063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9319313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9319313) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-10-03 |