| NPI | 1639620578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9335696) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: FL RN9335696) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2018-07-16 |