| NPI | 1437678448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113924) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2017032882) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-01-14 |