| NPI | 1609252071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R65903) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM 79992) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2024-07-17 |