| NPI | 1922507086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 61243) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2021-03-16 |