| NPI | 1558022947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015582) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 296070) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |