| NPI | 1245891498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H155613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 127316) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-10-01 |