| NPI | 1376022376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-104585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-104585) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-03-14 |