| NPI | 1952010357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017237) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC BUTL-PSIBH) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-02-02 |