| NPI | 1972046712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 255233) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2022-07-05 |