| NPI | 1417648916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27420) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 225871) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-06-19 |