| NPI | 1225556939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 2435415009847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 243541) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2022-07-21 |