| NPI | 1194027144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA L089920) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IA L-089920) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2018-09-19 |