| NPI | 1376041442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25883A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010198) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2024-10-31 |