| NPI | 1841999554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 294988) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC F02230858) | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-05-15 |