| NPI | 1932665064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A155582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209018611) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2024-11-27 |