| NPI | 1508569930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A174680) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: IA 151817) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-08-09 |