| NPI | 1336852821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229277) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA RN133275) |
| 363L00000X Nurse Practitioner (Licence: LA 229277) | |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2024-11-13 |