| NPI | 1598377525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11008778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9281631) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2021-09-10 |