| NPI | 1598008849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1250) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA 2009008937) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2015-02-03 |