| NPI | 1376910331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001260669) |
| 163W00000X Registered Nurse (Licence: CO 205443) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-11-23 |