| NPI | 1841838125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 214884) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903261) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-04-18 |