| NPI | 1427641745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014120) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC BRYA-ROE54) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-04-06 |