| NPI | 1962961052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000295) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0039282) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2020-04-07 |