| NPI | 1760858336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007888) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 196255) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2019-08-20 |