| NPI | 1710733183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9534466) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-06-05 |