| NPI | 1184671539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 3706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN APN0000011870) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2014-01-15 |