| NPI | 1417110933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R165559) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: MD R165559) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-04-27 |