| NPI | 1376041533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP018691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN537408) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-04-16 |