| NPI | 1184643991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 5593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS A810154) |
| 363L00000X Nurse Practitioner (Licence: AR A01900) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-04-17 |