| NPI | 1720842321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 906516) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 916270) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |