| NPI | 1063250462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020484) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC CAVA-K7UWK) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-11-01 |