| NPI | 1871204594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017354) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC DAVI-DB4IR) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-06-21 |