| NPI | 1366151870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 72250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 72250) |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2023-01-30 |