| NPI | 1689170037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 152855) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NC 152855) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-06-27 |