| NPI | 1538712260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112883) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H155444) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2021-11-03 |