| NPI | 1477994390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111520) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H134994) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2018-02-21 |