| NPI | 1497116511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-147422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-147422) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2019-11-25 |