| NPI | 1134674518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-157417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 62370) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-09-23 |