| NPI | 1033720594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 88141) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-21 |