| NPI | 1033501564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 077193-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN0199735) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2018-03-26 |