| NPI | 1285315994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R52857) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: ND R52857) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: MN 2326025) | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-09-19 |