| NPI | 1316303563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD f1215414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD 132005) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2019-07-08 |