| NPI | 1932934106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11034477) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: FL 9286501) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-09 |