| NPI | 1023582525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 2016105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001207558) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2022-09-16 |