| NPI | 1548405962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012411) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: NC 170713) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2022-07-08 |