| NPI | 1194712844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI 992) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: HI 56249) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-04-23 |