| NPI | 1366200883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019885) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NC 206392) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-04-06 |