| NPI | 1134808819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 231107) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 231107) |
| 363L00000X Nurse Practitioner (Licence: AR 228078) | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-05-28 |