| NPI | 1578221743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-151714) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2025-01-10 |