| NPI | 1801196340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA L107756) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA L-107756) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2022-09-27 |