| NPI | 1023655669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 23483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 206404) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2024-02-06 |