| NPI | 1992397061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 215919) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1134931) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-10-06 |