| NPI | 1295080471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM CNP02003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R37615) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2020-09-11 |