| NPI | 1639953409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 906305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 907402) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2024-09-11 |