| NPI | 1346025954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A176695) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-10-27 |