| NPI | 1235767799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 2141) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2021-11-10 |