| NPI | 1366915480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5011770) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NC 214561) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-07-23 |