| NPI | 1619735131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 876691) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NV RN97732) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-21 |