| NPI | 1013748177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 80283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 80283) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 80283) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-11-26 |