| NPI | 1952664682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-122067) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R890980) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2024-01-22 |