| NPI | 1346201860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 28505) |
| 363L00000X Nurse Practitioner (Licence: NE 110618) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2015-03-31 |