| NPI | 1619706173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 80408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 80408) |
| 163W00000X Registered Nurse (Licence: CA 95168073) | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-09-06 |