| NPI | 1366527194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA UP006444V) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC rn1009297) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-08-05 |