| NPI | 1326271032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 934A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID N-31200) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2018-03-30 |