| NPI | 1326631714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F05210307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 239988) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2024-01-07 |