| NPI | 1376181057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004464) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SC 236330) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2020-09-09 |