| NPI | 1689357394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 256587) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-10-23 |