| NPI | 1841758422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5011548) |
| Additional Taxonomies | 163WH1000X Registered Nurse Hospice (Licence: NC 253960) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-28 |