| NPI | 1134349301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003505) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NC 5003505) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2016-02-22 |