| NPI | 1346709813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-158600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-586000) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2022-06-09 |