| NPI | 1457585515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R084918) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD R084918) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2019-03-04 |