| NPI | 1285044453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 71075) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-09-24 |