| NPI | 1609262278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2240) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19423) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2017-04-21 |