| NPI | 1821470733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R096554) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2019-03-05 |