| NPI | 1821867284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 234278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 161011) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-01-23 |