| NPI | 1851021661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 245836) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-10-31 |