| NPI | 1346004769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC AG08230104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 247328) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |