| NPI | 1306282215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9302429) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2015-02-13 |