| NPI | 1407285851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 46490) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2014-06-18 |