| NPI | 1972264075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 71430) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: ID 37183) |
| Enumeration Date | 2022-01-01 |
| Last Update Date | 2022-01-24 |