| NPI | 1437641743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112469) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NE 71740) |
| 163WG0000X Registered Nurse, General Practice (Licence: NE 71740) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-07-18 |