| NPI | 1295590925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 2023084891) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NC 312343) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 2023084891) | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-06-27 |