| NPI | 1366895013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A172776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R048108) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-03-05 |