| NPI | 1578120135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76205) |
| 363L00000X Nurse Practitioner (Licence: IA A161766) | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2021-02-02 |