| NPI | 1942920343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11029447) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 905425) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-12-20 |