| NPI | 1437763042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113482) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NE 80067) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2021-03-03 |