| NPI | 1598301376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113111) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NE 74428) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2021-04-20 |