| NPI | 1346962016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP70076) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP75538) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-08-14 |