| NPI | 1487152666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 230580) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-03-17 |