| NPI | 1881437663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5020311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 315467) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-07-02 |