| NPI | 1871013300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 122262) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 68889) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-05-25 |