| NPI | 1831978972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 77955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 23990) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-11-06 |