| NPI | 1740906536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 114522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 60430) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-11-18 |