| NPI | 1306247796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-105493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-105493) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9399811) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2019-01-24 |