| NPI | 1154805919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010998) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 501099) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2023-12-19 |