| NPI | 1760149736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 290366) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 705463) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2024-05-07 |