| NPI | 1336904432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A178291) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: IA 120268) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-20 |