| NPI | 1770348450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 315267) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-05-07 |