| NPI | 1457907115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014863) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 226862) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2021-10-18 |