| NPI | 1235145004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-063850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3266332) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-09-19 |