| NPI | 1891914644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 124909) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 005001119) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-02-02 |