| NPI | 1124859129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020595) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F01241462) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-11-12 |