| NPI | 1316507049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A156470) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ F05190456) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-10-24 |