| NPI | 1154832020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007682A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2026-02-16 |