| NPI | 1457079212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 201698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 201698) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-01-10 |