| NPI | 1275294100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 905126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 901212) |
| 363LF0000X Nurse Practitioner Family (Licence: TN 35119) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-02-25 |