| NPI | 1851670277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP200591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN078895) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2019-02-13 |