| NPI | 1437601697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9447567) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9447567) |
| 163W00000X Registered Nurse (Licence: IN 28107067A) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2017-12-20 |