| NPI | 1598339699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014976) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024181357) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-09-02 |