| NPI | 1962020297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A157513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A157513) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-10-18 |