| NPI | 1629374509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP5099) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: NY 259900) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2018-03-17 |