| NPI | 1164832291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9249879) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 9249879) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: FL 9249879) | |
| 363LC1500X Nurse Practitioner Community Health (Licence: FL 9249879) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2015-03-05 |