| NPI | 1376387100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 79841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-73366) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-09-24 |