| NPI | 1356860514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9194837) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: FL 9194837) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-28 |