| NPI | 1568997492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9221153) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 21322) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2018-10-22 |