| NPI | 1780321463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 225980) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN126301) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-05-03 |