| NPI | 1700125424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006094) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 132138) |
| 363L00000X Nurse Practitioner (Licence: NC 132138) | |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2020-02-21 |