| NPI | 1043861586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 72654) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-11-14 |