| NPI | 1538784905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 307568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A158856) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-07-02 |