| NPI | 1588444665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 77744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 77744) |
| 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: 035273) | |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-12-21 |