| NPI | 1952093981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11026609) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9499830) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-30 |