| NPI | 1114576006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11003976) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: FL 9300765) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-04-27 |