| NPI | 1245604966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08661) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA rn132341) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2021-01-20 |