| NPI | 1396059671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NE 111046) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111046) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2011-06-23 |