| NPI | 1093447518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26249) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 231182) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-11-01 |