| NPI | 1396473914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC DYE-BFY90) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-08-07 |