| NPI | 1417961731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R138505) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R138505) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-02-25 |