| NPI | 1164821534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013834) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN133853) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2023-11-17 |