| NPI | 1265259360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 279666) |
| 163W00000X Registered Nurse (Licence: TN 274131) | |
| Enumeration Date | 2024-09-21 |
| Last Update Date | 2024-11-07 |