| NPI | 1578131876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5014725.) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NC 241278) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-01-16 |