| NPI | 1427089945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 6487) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R850226) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-03-21 |