| NPI | 1396255105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9298209) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: FL 9298209) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |