| NPI | 1386269629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 223744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 903965) |
| 363L00000X Nurse Practitioner (Licence: MS WELL-FJ0DT3) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2022-03-25 |