| NPI | 1003431776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 215266) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-08-06 |