| NPI | 1508057811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R519332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RN1618623) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 12805) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-03-15 |