| NPI | 1144947474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A171682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 146824) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2024-01-30 |