| NPI | 1932812203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11023759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI 04687) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2025-08-14 |