| NPI | 1144079955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 6761972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9479530) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-10-15 |