| NPI | 1295833952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900412) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 192514) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-12-09 |