| NPI | 1336271923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-070613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9236739) |
| 363L00000X Nurse Practitioner (Licence: MA RN133971) | |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2016-08-15 |