| NPI | 1235797770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H154901) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 112689) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-12-29 |