| NPI | 1396247995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010370) |
| 163W00000X Registered Nurse (Licence: NC 238957) | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2024-08-07 |