| NPI | 1154863827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 66212) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ID N-28059) |
| Enumeration Date | 2016-11-13 |
| Last Update Date | 2024-05-05 |