| NPI | 1144923558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018043) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 213770) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-05-02 |