| NPI | 1740745538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A131935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 131935) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-04-11 |