| NPI | 1447988167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 906240) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-159847) |
| 163W00000X Registered Nurse (Licence: AL 1-159847) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2023-09-05 |