| NPI | 1386078863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NM R62903) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02233) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-01-26 |