| NPI | 1902212590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A111190) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP5657) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2024-08-09 |