| NPI | 1063295293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018625) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC CLAR-OL6VR) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-10-30 |