| NPI | 1326710898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25174) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC 25174) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-11-16 |