| NPI | 1417588013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-140475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9487913) |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2024-05-15 |