| NPI | 1346779113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09456) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA 131917) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-08-18 |