| NPI | 1942684022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007816) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 158816) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-31 |