| NPI | 1760973739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 20186659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201142261) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-06-10 |