| NPI | 1477621365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 033925-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 033925-23) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2016-12-29 |