| NPI | 1588183826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21393) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 109472) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010048) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-11-03 |