| NPI | 1669938999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013173) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA rn200792) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-03-22 |