| NPI | 1497108518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 7061-33) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 175893-30) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2025-07-15 |