| NPI | 1164925426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09737) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: LA RN141287) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2020-07-06 |