| NPI | 1396975553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111063) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 1845) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2011-11-14 |