| NPI | 1023487311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11505) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 83840) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2018-07-26 |