| NPI | 1477144954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0010398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC005129) |
| 363L00000X Nurse Practitioner (Licence: WA AP61452004) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2024-11-01 |