| NPI | 1407272396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R215265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657487-1) |
| 163W00000X Registered Nurse (Licence: MD R215265) | |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2016-08-21 |