| NPI | 1598462012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NC AG06230049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 209699) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-06-27 |