| NPI | 1518001478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 1168) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 1168) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-04-18 |