| NPI | 1134584295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN132157) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2016-03-17 |