| NPI | 1518925007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-02905) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024113734) |
| 163W00000X Registered Nurse (Licence: NM RN-83664) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-08-17 |