| NPI | 1588186886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20961) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-140437) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2024-10-17 |