| NPI | 1891358495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 3333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 81737) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2022-10-02 |