| NPI | 1497211486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 55420) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-34971) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |