| NPI | 1265914360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC ZANZ-IFYBBC) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F08180387) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |