| NPI | 1205340007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP09665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA R133302) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2020-04-27 |