| NPI | 1609259183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL25-1269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007686) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2025-07-25 |