| NPI | 1487163796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9336763) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9336763) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2018-01-24 |