| NPI | 1457840449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 255906) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-07-24 |