| NPI | 1962225318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 270808) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-12-16 |