| NPI | 1851123749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 206781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 206781) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-01-03 |