| NPI | 1013364447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 206596) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-07-11 |