| NPI | 1538655048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 200890) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-03-14 |