| NPI | 1770968273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007821) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F0515377) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2023-07-18 |