| NPI | 1699933309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5004023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 75437) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2016-09-27 |