| NPI | 1528432093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-124844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-124844) |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2020-02-05 |