| NPI | 1730369612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R886153) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AL 1-139768) |
| 163WS0200X Registered Nurse, School (Licence: OH 405107-COA1) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2014-09-10 |