| NPI | 1649037904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 906491) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MS 908687) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-12 |