| NPI | 1689388043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 295461) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-08-22 |