| NPI | 1134742034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015065) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC WILH-5KJ9N) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2021-09-20 |