| NPI | 1568023844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-187123) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11002938) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-06-29 |