| NPI | 1457992497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A156727) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 115467) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-11-26 |