| NPI | 1174088967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11001413) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: FL RN9337150) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2021-02-12 |