| NPI | 1598473076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 205742) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-12-08 |