| NPI | 1487994265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 17013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001201480) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2018-03-06 |