| NPI | 1801145867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201706145NP-PP) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN146883) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2019-03-18 |