| NPI | 1750885448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 830633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 240659) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-23 |