| NPI | 1245909837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015001) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 50150001) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-09-25 |