| NPI | 1437515475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 106135) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-06-06 |