| NPI | 1255417838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5000596) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 2005003026) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-06-19 |