| NPI | 1780232009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN697020) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2025-02-26 |