| NPI | 1851722615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0164586) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2016-06-28 |