| NPI | 1831867696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014987) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: NC 5014987) |
| Enumeration Date | 2021-09-05 |
| Last Update Date | 2021-10-28 |