| NPI | 1487071031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R084570) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2016-11-28 |