| NPI | 1629759410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 856259) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 906093) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-10-25 |