| NPI | 1679008288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 178795) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2023-12-07 |