| NPI | 1982050795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM CNP-03115) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NM R52938) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-02-07 |