| NPI | 1316451032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 21618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 230304) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2018-06-12 |