| NPI | 1043279771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP587) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID N31764) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-08 |