| NPI | 1164846119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004423) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R79643) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2016-08-17 |