| NPI | 1295204543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000235) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: FL 9270683) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2020-02-03 |