| NPI | 1477912954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08653) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN103912) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |