| NPI | 1801422480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012996) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F01201776) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2023-12-07 |