| NPI | 1326579202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NE 67344) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 112661) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2021-08-11 |