| NPI | 1508486804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 904918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R869795) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2021-09-29 |