| NPI | 1407607377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 4563-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 70786) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-05-03 |