| NPI | 1427433671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 176746) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5007829) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2020-10-29 |