| NPI | 1114763281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15626) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363L00000X Nurse Practitioner (Licence: WI 15626-33) | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-11-06 |