| NPI | 1730956160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R251498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R251498) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-09-26 |