| NPI | 1629571443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R36567) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: ND R36567) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-11-14 |