| NPI | 1376896423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-75725) |
| 225700000X Massage Therapist (Licence: NM 7085) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2022-05-05 |