| NPI | 1124408547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 1935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 61919) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2016-06-22 |