| NPI | 1376512855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS A810444) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 6856) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2015-10-08 |