| NPI | 1982288783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 63667) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 63667) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2025-01-13 |