| NPI | 1093346322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 072319-23) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 072319-21) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-11-13 |