| NPI | 1619330701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 290703) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2018-04-25 |