| NPI | 1205336740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A150707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 2032) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-07-25 |