| NPI | 1932862919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R208852) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-3372) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-05-05 |