| NPI | 1013462035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 246367) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2018-10-24 |