| NPI | 1609347905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019357) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA rh599130) |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2018-12-12 |