| NPI | 1376373993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 1961871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 43521) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-10-30 |