| NPI | 1619469426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-130362) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11026588) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-04-23 |