| NPI | 1609484609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11008891) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F07200141) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-08-26 |