| NPI | 1518340983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NE 111831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 69636) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |