| NPI | 1558027532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: ID NP-53726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 53726) |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2024-03-14 |