| NPI | 1396778247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 5813) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 81-0149) |
| 363L00000X Nurse Practitioner (Licence: AR A01917) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-10-24 |