| NPI | 1104225317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004261) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AR R43284) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-08-27 |