| NPI | 1194156299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9246919) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5006693) |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2016-06-07 |