| NPI | 1437109642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP008755) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN255587L) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-04-30 |