| NPI | 1740006261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036656) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9500962) |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2024-12-05 |