| NPI | 1023847597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 115563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 90887) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-08-19 |