| NPI | 1033112008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC APN589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC R61533) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-04-04 |