| NPI | 1952162299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024190261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0001244952) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-07-23 |