| NPI | 1538916788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28914) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: SC 250309) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-08-02 |