| NPI | 1619376274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-120271) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9382028) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2016-01-04 |