| NPI | 1679110084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 23787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 217874) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2020-03-31 |