| NPI | 1477255057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018692) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 205278) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-09-25 |