| NPI | 1235557885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-113681) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 193257) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-10-03 |