| NPI | 1215706288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5019943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 288326) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-05-09 |