| NPI | 1366282576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 306208) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-10-23 |