| NPI | 1811483266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 53235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R65670) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-02-09 |