| NPI | 1235344581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-01704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R29347) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-01-15 |