| NPI | 1669898011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 64316) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 1678) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2021-01-20 |