| NPI | 1447616313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 74124) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A142915) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-06-19 |