| NPI | 1831684216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 79703) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-29 |