| NPI | 1629621305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012018) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC HEND-QN06KG) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-12-19 |