| NPI | 1366227464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 629333) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-01-15 |