| NPI | 1023522364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 76139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 79458) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2023-10-14 |