| NPI | 1982910824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP06155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN097858) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2019-06-12 |