| NPI | 1447764758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112362) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13952) |
| 363L00000X Nurse Practitioner (Licence: IA H149650) | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2023-05-31 |