| NPI | 1518327774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 243326) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-06-13 |