| NPI | 1770050494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP10197) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015425) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2023-03-01 |