| NPI | 1407334105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 237018) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 237018) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2019-01-30 |