| NPI | 1356050462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 265269) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN265269) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-02-16 |