| NPI | 1619291481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI 1272) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: MD R173773) |
| 163WE0003X Registered Nurse Emergency (Licence: HI RN67764) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD R173773) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2018-09-18 |