| NPI | 1144746363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112307) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H149417) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2018-01-24 |