| NPI | 1124868898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906734) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 904571) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-09-25 |