| NPI | 1912697483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95025089) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71016241A) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-03-05 |