| NPI | 1730635566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 03552) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM R26431) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2021-02-03 |