| NPI | 1134330715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R088791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN48990) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-04-14 |