| NPI | 1972050888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 229579) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 790822) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |