| NPI | 1023607652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113336) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 113334) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-06-11 |