| NPI | 1487893517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R77930) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2011-01-20 |