| NPI | 1902348923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11028844) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9209878) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-09-26 |