| NPI | 1780453068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019354) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 283728) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-01-02 |