| NPI | 1851021869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997722) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CO 0171744) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-07-07 |