| NPI | 1992259709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10027852) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AK 112965) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2024-07-15 |