| NPI | 1669241808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 245447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV 857488) |
| 163W00000X Registered Nurse (Licence: NV 857488) | |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2024-03-06 |