| NPI | 1144719733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0010583) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2022-11-14 |