| NPI | 1265139497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 115392) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H179743) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2024-06-21 |