| NPI | 1093146524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R205773) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2024-04-15 |