| NPI | 1851731293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 217789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 217789) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2019-01-17 |