| NPI | 1851814222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112269) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H148420) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-08-09 |