| NPI | 1689454241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5021474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 331759) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-01-10 |