| NPI | 1083133417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009884) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC YAND-15X4Y2) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2023-07-11 |