| NPI | 1831706498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP026590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN179595) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2023-06-19 |