| NPI | 1538636477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013851) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP019504) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-01-20 |