NPI | 1255329181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1571192) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 125223) |
163W00000X Registered Nurse (Licence: NC Adv Pract Genetics) | |
170300000X Genetic Counselor, MS | |
Enumeration Date | 2005-10-13 |
Last Update Date | 2016-01-07 |