| NPI | 1427656230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 904201) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 864405) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-10-01 |