| NPI | 1851953806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R36398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND F06192753) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2022-04-18 |