| NPI | 1093033102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP978A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N36247) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2012-08-19 |