| NPI | 1386480192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 262670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 500475) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-21 |