| NPI | 1013429513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018545) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NE F06171769) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2021-03-24 |