| NPI | 1518112887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007087) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 231651) |
| Enumeration Date | 2008-11-29 |
| Last Update Date | 2019-02-12 |