| NPI | 1790134534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014347) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-135731) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-05-15 |