| NPI | 1093901290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900034) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3236) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2012-07-31 |