| NPI | 1356645394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 3945a) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3945) |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: SC 3945) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2015-08-22 |