| NPI | 1962116749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC006627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 12968221-4405) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-08-07 |