| NPI | 1306356910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 205695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC OA1Z1M) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |