| NPI | 1457195422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 271289) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 271289) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 271289) | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |