| NPI | 1952041311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 302141) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-11-21 |