| NPI | 1871269605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018620) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2281289) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2024-01-05 |