| NPI | 1316346075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: CA 20859) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN/NP 233723) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2017-01-17 |