| NPI | 1235896150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015695) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 283545) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-11-27 |
| Last Update Date | 2022-01-31 |