| NPI | 1154785285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 240061) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2018-12-28 |