| NPI | 1245976224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 905366) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 869689) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-07-28 |