| NPI | 1790452183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A176024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 264093) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-11-22 |