| NPI | 1508616137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28225046A) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-04-18 |