| NPI | 1649933672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113754) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A167865) |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2023-11-30 |