| NPI | 1942542527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-052978) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: AL 1052978) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2016-06-01 |