| NPI | 1386167690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9310150) |
| Additional Taxonomies | 163WN0003X Registered Nurse, Neonatal, Low-Risk (Licence: FL RN9310150) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |