| NPI | 1053139451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC F10240003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 338922) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-13 |