| NPI | 1255329181 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1571192) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 125223) | 
| 163W00000X Registered Nurse (Licence: NC Adv Pract Genetics) | |
| 170300000X Genetic Counselor, MS | |
| Enumeration Date | 2005-10-13 | 
| Last Update Date | 2016-01-07 |