| NPI | 1700436920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-140830) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AL 1-140830) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-03-04 |