| NPI | 1346963519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905586) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 873245) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS pending) | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2024-08-23 |