| NPI | 1134872203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC MCGI-A1M2J) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2022-11-15 |