| NPI | 1144775131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-132105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-132105) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2017-10-18 |