| NPI | 1972995926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F12220753) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AL 1-101524) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2023-03-06 |