| NPI | 1598001927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005976) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 214075) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2013-04-16 |