| NPI | 1427166461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 691) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 6284797-4405) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |