| NPI | 1790155745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7848) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903350) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2022-11-08 |