| NPI | 1942043302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29481) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 267503) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-12-30 |