| NPI | 1033970108 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 234255)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN114451)  | 
| Enumeration Date | 2024-01-17 | 
| Last Update Date | 2024-01-19 |