| NPI | 1013483676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011154) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 253925) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2021-03-18 |