| NPI | 1154732808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54303) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM RN-74898) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2021-07-09 |