| NPI | 1215433933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9304010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9304010) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-07-18 |