| NPI | 1558959338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014021) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 10) |
| 163W00000X Registered Nurse (Licence: NC 326067) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-02-03 |