| NPI | 1851711634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20568) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 78175) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2018-03-21 |