| NPI | 1841612678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019030) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 133307) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2023-12-18 |