| NPI | 1003650482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 96808) |
| 163W00000X Registered Nurse (Licence: NY 761618) | |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |