| NPI | 1902589310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018746) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018746) |
| 163WE0003X Registered Nurse, Emergency (Licence: NC 304336) | |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2024-07-31 |