| NPI | 1205829348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 2257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC APN2257) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2014-03-05 |