| NPI | 1124261318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 067540-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 163730) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2013-07-30 |