| NPI | 1205642816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: NC 5021270) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NC 327695) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |