| NPI | 1346841400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 29156) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: SC 242509) |
| 363L00000X Nurse Practitioner (Licence: SC 29156) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-12-18 |