| NPI | 1194337089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 10316-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 199574-30) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2021-03-29 |