| NPI | 1366408395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R38298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 201881) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-01-11 |