| NPI | 1801333760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 58646) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NM 80277) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2020-02-25 |