| NPI | 1346420692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT R145433-84) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: MN R 145433-8) |
| 163W00000X Registered Nurse (Licence: MT 13722) | |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2015-08-16 |