| NPI | 1326471517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H134847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 60106) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-12-19 |