| NPI | 1376378034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 115671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 124160) |
| 363L00000X Nurse Practitioner (Licence: IA 124160) | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-12-16 |