| NPI | 1770997116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT RN-18569) |
| Additional Taxonomies | 163WI0600X Registered Nurse Infection Control (Licence: MT RN-18569) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |