| NPI | 1073342275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11035943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9489664) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-10-31 |