| NPI | 1316602832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RNP262130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA F04210426) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-12-28 |