| NPI | 1346634268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008148) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19321) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2022-01-25 |