| NPI | 1306696117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NV 875532) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 875532) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-08-13 |