| NPI | 1053637546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111011) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NE 114090) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2013-12-16 |