| NPI | 1376134668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 214714) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 214714) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2022-08-22 |