| NPI | 1033349832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 50037) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2015-01-07 |