| NPI | 1629855952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 79978) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-69513) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-08-06 |