| NPI | 1588326094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 217602) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R099203) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-30 |