| NPI | 1992303762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A172349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV 835144) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-12-26 |