| NPI | 1417734104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019087) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC CABA-A3N2W) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-11-07 |