| NPI | 1386061778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 895910) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MS 640662976) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-11-24 |