| NPI | 1568146173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 2022012631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R210473) |
| 163W00000X Registered Nurse (Licence: CA 95316133) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-02-16 |