| NPI | 1326388075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A117977) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 117977) |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2020-03-09 |