| NPI | 1366112369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC DONG-S0XX5) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 257291) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2022-09-16 |