| NPI | 1306330105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 219004) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: AZ RN129694) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2021-09-15 |