| NPI | 1598130114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 901476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R892138) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2021-06-22 |