| NPI | 1548856438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 261742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 188416) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2021-12-02 |