| NPI | 1033450499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006123) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 175990) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2014-10-15 |