| NPI | 1275305567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020592) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 288336) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-08-07 |