| NPI | 1386857274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP009270) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000429) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-04-26 |