| NPI | 1336506922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN128288) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2019-10-18 |