| NPI | 1063126571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020288) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: NC 306734) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-08-23 |