| NPI | 1255097820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A166402) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: IA 121436) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A166402) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-02-16 |