| NPI | 1689157927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA G172305) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IA 147037) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-06-14 |