| NPI | 1518527654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5012107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 252052) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2021-10-20 |