| NPI | 1235828211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: ND R39264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ND R39264) |
| 163W00000X Registered Nurse (Licence: ND R39264) | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2025-05-01 |