| NPI | 1568018091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012125) |
| 163W00000X Registered Nurse (Licence: NC 172008) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-04-14 |