| NPI | 1750763405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19519) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: SC 19519) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-10-15 |