| NPI | 1851098123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC AG06230007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 296818) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-11-05 |