| NPI | 1356583678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 224739) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 2831582) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |