| NPI | 1134613326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 217478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018020909) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2021-12-15 |