| NPI | 1164276960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 37445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 495) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |