| NPI | 1437802287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2361292) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ZZ 98864) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-07-26 |