| NPI | 1851063994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018870) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 221950) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-08-28 |