| NPI | 1366010068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 221498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN152316) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-09-17 |