| NPI | 1285119487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 200520) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: LA 100124) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2022-07-15 |