| NPI | 1316532096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 905610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 913353) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2022-10-02 |