| NPI | 1770245284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 216350) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R105154) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |