| NPI | 1144688151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010276) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 20858) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2018-04-19 |