| NPI | 1497185722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 103939) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: MT 38329) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2016-07-07 |