| NPI | 1588431084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 502004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 218009) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-05-20 |