| NPI | 1114590585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 219952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN135939) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-08-03 |