| NPI | 1235666215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009975) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 232848) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2018-03-17 |