| NPI | 1932947702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 1932947702) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 159631) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-08-01 |