| NPI | 1689450835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 28608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 295896) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-05-13 |