| NPI | 1326490954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD F1016173) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD r161220) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-10-06 |