| NPI | 1295072759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 208779) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2019-12-18 |