| NPI | 1043890973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1063325) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F30971801) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-02-28 |