| NPI | 1962852897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 24039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.014368) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-04-20 |