| NPI | 1174306104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 115045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76006) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-05-08 |