| NPI | 1528880622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9513687) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036489) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-11-14 |