| NPI | 1801281159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 383922) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 383922) |
| 163WC1500X Registered Nurse Community Health (Licence: CA 383922) | |
| 163WS0200X Registered Nurse School (Licence: CA 383922) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2016-04-23 |