| NPI | 1942768023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A137069) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA A137069) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2020-03-25 |