| NPI | 1659687986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006740) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2258325) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2016-03-14 |