| NPI | 1760157887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113667) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H166996) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2022-02-02 |