| NPI | 1376103010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5012559) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: NC 203881) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-12-06 |