| NPI | 1629782040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 94449) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2025-01-06 |