| NPI | 1871006056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI 01746) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: RI RN35015) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2018-02-13 |