| NPI | 1033387535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13228) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TN 0000013228) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-07-23 |