| NPI | 1750142550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019473) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NC 325895) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-07-08 |