| NPI | 1821182429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP10096) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP769A) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-08-21 |