| NPI | 1730664335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71013845A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP138985) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2348811) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2023-09-09 |