| NPI | 1497785224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM R22630) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R22630) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-02-16 |