| NPI | 1396520151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 916255) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-09-11 |