| NPI | 1336570514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 8083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5619-33) |
| 163W00000X Registered Nurse (Licence: WI 160820-30) | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2019-04-25 |