| NPI | 1851739007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 212732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA g174329) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-06-06 |