| NPI | 1932658069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20496) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 20496) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: SC 20496) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 20496) | |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2018-05-25 |