| NPI | 1477129286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113590) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NE 113590) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-10-05 |