| NPI | 1003577792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 082840-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 082840-23) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 082840-21) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-10-10 |