| NPI | 1003281916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 901418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 882741) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2016-05-24 |