| NPI | 1790450021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 222274) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA rn140108) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-12-01 |