| NPI | 1265906531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011390) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F01190379) |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2025-02-04 |