| NPI | 1437789898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11015197) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013476) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2023-10-09 |