| NPI | 1215421888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 21958) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: SC 99591) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-12-03 |