| NPI | 1821340951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2291169) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP122495) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2016-09-08 |