| NPI | 1295480119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11017811) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 010358) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |