| NPI | 1538453238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R235754) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015338) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209008488) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2019-11-12 |