| NPI | 1922623255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5014735) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014735) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 39208) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2022-07-01 |