| NPI | 1316966054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 5477) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 81-0138) |
| 363L00000X Nurse Practitioner (Licence: AR A01891) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-02-24 |